Janie Eve Waddell, LPC-A
Counselor, Professional in Fair Bluff, NC. Individual provider (NPI-1).
NPI number1699028142
StatusActive
Last updated in NPPESOct 22, 2012
Details
- NPI
- 1699028142
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Janie Eve Waddell
- Credential
- LPC-A
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 22, 2012
- Last updated
- Oct 22, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | A8239 | NC | Yes |
Practice location
86 Sunset DrFair Bluff, NC 28439-9808
Phone 910-770-1303
Mailing address
86 Sunset DrFair Bluff, NC 28439-9808
Phone 910-770-1303
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